Which of these nursing actions is most likely to be effective in ...

[itsmyluck]

Which of these nursing actions is most likely to be effective in reconciling the costs of care with the need for quality care?
 
  A) Ensuring that older adults who are hospitalized are discharged as early as possible.
  B) Maximizing the role of unlicensed caregivers within their scope of practice.
  C) Standardizing nursing care plans for hospital and care facility clients.
  D) Enlisting the help of family, friends, and neighbors in the care of older adults.

Question 2

A 66-year-old male client has had a diagnosis of benign prostatic hyperplasia (BPH) for several months and is now slated for transurethral prostate resection (TURP) surgery.
 
  The man states to the nurse, Finally I'll be able to get my sex life back in order.. How can the nurse best respond? A) Tell the client that the surgery is likely to result in erectile dysfunction
  B) Explain that the surgery is unlikely to bring a rejuvenation of sexual performance
  C) Explain that while sexual performance is likely to improve, incontinence is often a consequence of the surgery.
  D) Tell the client that there will probably be no effect on sexual performance.

[Bison]

Answer to Question 1

D
Feedback:
The use of lay caregivers has been identified as a sound strategy in the provision of quality care in the context of financial challenges. Early discharge, standardizing care, and maximizing the use of unlicensed care providers are likely to lower costs but may or may not be congruent with good care.

Answer to Question 2

B
Feedback:
While impotence is not a certainty after a TURP, the surgery is not likely to greatly enhance sexual performance either. The surgery normally resolves rather than causes incontinence.